RNIYC Summer Sailing Course Session commencing 13th July 2020 - Level 4 & above

Name of Attendee*
First Last
Membership Number
Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Email Address*
Enter Email Confirm Email

This will be used to send you a booking confirmation email.
Attendee Date of Birth*
Date Format: DD slash MM slash YYYY
Do you have any medical conditions that we need to be aware of?*
- Yes
- No
If yes, please give details:
Parental Emergency Contact Number 1*
Parental Emergency Contact Number 2*
Cost*
- £65 Member
- £85 Non-member
Total
£ 0.00